Kruusamäe Helena, Kull Merike, Mooses Kerli, Riso Eva-Maria, Jürimäe Jaak
J Phys Act Health. 2016 Nov;13(11 Suppl 2):S150-S156. doi: 10.1123/jpah.2016-0239.
The 2016 Report Card on Physical Activity for Children and Youth, the first of its kind, aims to set baseline physical activity (PA) indicators using the Active Healthy Kids Global Alliance grading system.
A research work group analyzed and selected data for the grade assignment meeting (GAM). During the GAM, 17 leading researchers and policy experts from Estonia assessed the data and assigned grades for each of the 9 PA indicators. In addition, recommendations were provided for further actions to improve the grades.
Grades from A (highest) to F (lowest) were assigned as follows: 1) Overall PA (F); 2) Organized Sport (C); 3) Active Play [incomplete data (INC)]; 4) Active Transportation (INC); 5) Sedentary Behaviors (F); 6) Family and Peers (C); 7) School (C); 8) Community and the Built Environment (B); and 9) Government (C). An indicator was marked as incomplete (INC) when there was a lack of representative quality data.
Evidence suggests that PA levels of Estonian children remain very low, despite moderately supportive social, environmental, and regulatory factors. There are many challenges to overcome in supporting and promoting PA of children and youth (eg, cross-sectional cooperation, implementing interventions, changing social norms, empowerment of parents and educational institutions).
《2016年儿童和青少年身体活动成绩单》是同类报告中的首份报告，旨在使用“健康活跃儿童全球联盟”评分系统设定身体活动（PA）基线指标。
一个研究工作组分析并选择了用于评分会议（GAM）的数据。在评分会议期间，来自爱沙尼亚的17位顶尖研究人员和政策专家对数据进行了评估，并为9项身体活动指标中的每一项给出了评分。此外，还针对进一步提升评分的行动提出了建议。
从A（最高）到F（最低）的评分如下：1）总体身体活动（F）；2）有组织的体育运动（C）；3）积极玩耍[数据不完整（INC）]；4）积极出行（INC）；5）久坐行为（F）；6）家庭和同伴（C）；7）学校（C）；8）社区和建成环境（B）；9）政府（C）。当缺乏具有代表性的高质量数据时，一项指标被标记为不完整（INC）。
有证据表明，尽管社会、环境和监管因素提供了一定程度的支持，但爱沙尼亚儿童的身体活动水平仍然很低。在支持和促进儿童及青少年的身体活动方面，有许多挑战需要克服（例如，跨部门合作、实施干预措施、改变社会规范、增强家长和教育机构的能力）。
